Trends in Inpatient Dermatology and The Impact of the COVID-19 Pandemic at A Tertiary Care Facility in Western India

Authors

  • Rohan Manoj Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India
  • Aakash Ghosh Indian Institute of Science Education and Research, Kolkata, India
  • Namratha Puttur Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India
  • Priya Garg Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India
  • Shrishti Singh Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India
  • Akanksha Jakhar Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India
  • Kalpesh Bhosale Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India
  • Dwaipayan Roy Indian Institute of Science Education and Research, Kolkata, India
  • Aayush Gupta Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India

DOI:

https://doi.org/10.55489/njcm.150720243911

Keywords:

Inpatient dermatology, Covid-19, Epidemiological trends

Abstract

Background: Little is known regarding the effect of the coronavirus pandemic on the characteristics of dermatology admissions, particularly in the Indian context. Objectives: To conduct a retrospective analysis of the discharge records of all patients admitted to a tertiary care centre in Western India from 1 January 2019 to 31 December 2022.

Methods: Patient records were reviewed and compiled. Diagnoses were grouped to achieve consistency with international studies. Finally, the effect of COVID on admissions was determined. Data samples were assessed using descriptive statistics. Continuous variables were expressed as median or mean. The student’s t-test and chi-square test were utilised to investigate wherever appropriate.

Results: Inpatient care was required for 1,817 patients. Males (1000, 55.04%) were significantly more likely to be admitted than females (817, 44.96%). The leading causes of hospitalisation were bacterial infections (26.42%), vesiculobullous disorders (17.45%), and psoriasiform disorders (11.34%). The greatest number of admissions occurred in 2019, followed by a substantial decline in 2020. Admission rates for vesiculobullous disorders, psoriasiform disorders, and malignancies were significantly higher during the pandemic period.

Conclusions: Our study offers an analysis of the impact of the coronavirus pandemic on the patient profiles of patients admitted to a dermatology ward.

References

Lis-Święty A, Niewiedzioł M, Ciulkin K, Niemczyk W, Paciorek S, Więckowska B, Droździkowska A. Inpatient care for patients with skin conditions in Poland-hospitalization and patient characteristics. Dermatology Review/Przegląd Dermatologiczny. 2021;108(1):1-5. Doi: https://doi.org/10.5114/dr.2021.105888

Sen A, Chowdhury S, Poddar I, Bandyopadhyay D. Inpatient dermatology: characteristics of patients and admissions in a tertiary level hospital in eastern India. Indian Journal of Dermatology. 2016 Sep;61(5):561. Doi: https://doi.org/10.4103/0019-5154.190104 PMid:27688450 PMCid:PMC5029246

Ayyalaraju RS, Finlay AY. Inpatient dermatology. United Kingdom and United States similarities: Moving with the times or being relegated to the back bench? Dermatol Clin 2000;18:397-404, vii-viii. Doi: https://doi.org/10.1016/S0733-8635(05)70188-1 PMid:10943535

Ferguson JA, Goldacre MJ, Newton JN, Dawber RP. An epidemiological profile of in-patient workload in dermatology. Clin Exp Dermatol 1992;17:407-12. Doi: https://doi.org/10.1111/j.1365-2230.1992.tb00248.x PMid:1486707

Munro CS, Lowe JG, McLoone P, White MI, Hunter JA. The value of in-patient dermatology: A survey of in-patients in Scotland and Northern England. Br J Dermatol 1999;140:474-9. Doi: https://doi.org/10.1046/j.1365-2133.1999.02712.x PMid:10233269

Bale J, Chee P. Inpatient dermatology: Pattern of admissions and patients' characteristics in an Australian hospital. Australasian Journal of Dermatology. 2014 Aug;55(3):191-5. Doi: https://doi.org/10.1111/ajd.12097 PMid:23991699

Cuenca‐Barrales C, de Vega‐Martínez M, Descalzo‐Gallego MÁ, García‐Doval I. Inpatient dermatology: Where are we headed? A nationwide population‐based study of Spain from 2006 to 2016. JDDG: Journal der Deutschen Dermatologischen Gesellschaft. 2021 May;19(5):707-17. Doi: https://doi.org/10.1111/ddg.14336

Storan ER, McEvoy MT, Wetter DA, El-Azhary RA, Bridges AG, Camilleri MJ, et al. Experience with the dermatology inpatient hospital service for adults: Mayo Clinic, 2000-2010. J Eur Acad Dermatol Venereol 2013;27:1360-5. Doi: https://doi.org/10.1111/jdv.12010 PMid:23066743

García-Doval I, Feal C, Rosón E, Abalde MT, Flórez A, Cruces MJ. Inpatient dermatology: Characteristics of patients and admissions in a Spanish hospital. J Eur Acad Dermatol Venereol 2002;16:334-8. Doi: https://doi.org/10.1046/j.1468-3083.2002.00473.x PMid:12224688

de Paula Samorano-Lima L, Quitério LM, Sanches JA, Neto CF.Inpatient dermatology: Profile of patients and characteristics of admissions to a tertiary dermatology inpatient unit in São Paulo, Brazil.Int J Dermatol 2014;53:685-91 PubMed. Doi: https://doi.org/10.1111/j.1365-4632.2012.05818.x PMid:23675752

Gupta V, Gupta S, Kharghoria G, Pathak M, Sharma VK. Profile of dermatology inpatients and admissions over a four year period in a tertiary level government teaching hospital in North India. Indian J Dermatol Venereol Leprol. 2022 May-Jun;88(3):342-348. Doi: https://doi.org/10.25259/IJDVL_711_20 PMid:34623048

Hasan S, Farshad F, Negin S, Parastoo D, Farzam G. Patterns of admissions to a Referral Skin Hospital in Iran. Iran J Dermatol 2008;11:156-8.

Jessop S, McKenzie R, Milne J, Rapp S, Sobey G. Pattern of admissions to a tertiary dermatology unit in South Africa. Int J Dermatol 2002;41:568-70. Doi: https://doi.org/10.1046/j.1365-4362.2002.01586.x PMid:12358825

Tanacan E, Aksoy Sarac G, Emeksiz MAC, Dincer Rota D, Erdogan FG. Changing trends in dermatology practice during COVID-19 pandemic: A single tertiary center experience. Dermatol Ther. 2020 Nov;33(6):e14136. Doi: https://doi.org/10.1111/dth.14136 PMCid:PMC7435568

Finlay AY, Anstey AV. Dermatology inpatient care in the UK: Rarely possible, hard to defend but occasionally essential. Br J Dermatol 2019;180:440-2. Doi: https://doi.org/10.1111/bjd.17501 PMid:30821384

Downloads

Published

2024-07-01

How to Cite

1.
Manoj R, Ghosh A, Puttur N, Garg P, Singh S, Jakhar A, Bhosale K, Roy D, Gupta A. Trends in Inpatient Dermatology and The Impact of the COVID-19 Pandemic at A Tertiary Care Facility in Western India. Natl J Community Med [Internet]. 2024 Jul. 1 [cited 2024 Jul. 2];15(07):585-90. Available from: https://njcmindia.com/index.php/file/article/view/3911

Issue

Section

Short Research Article